Credit Application
Fill out the form below to apply for financing. You may also call us at (613) 831-3332 to apply over the phone.Please note: all fields marked with an asterisk (*) are required.
General Information
Vehicle Information
| Year: | |
| Make: | |
| Model:* | |
| Stock Number: | |
| Down Payment: | $or less |
| Payment: | $per month |
| Time Frame: |
Trade Information
| Trade In: | Yes, I want to trade in a vehicle No, I do not want to trade in a vehicle |
| Trade In Details: | If Yes, please describe the trade in vehicle |
Co-buyer's Personal Information
| Full Name: | |
| Address: | |
| City: | |
| Province: | |
| Postal Code: | |
| How long at this address: | |
| Date of Birth: | |
| SIN: |
Employment Information
| Employer:* | |
| Employer Address:* | |
| City: | |
| Province: | |
| Postal Code:* | |
| How long have you worked here:* | |
| Occupation:* | |
| Salary:* | $ |
Privacy Statement
We take online privacy seriously.At Canadian Auto Mall we respect your privacy. We protect the personal information we gather and it is used only by (and disclosed to) Canadian Auto Mall, Agents and Suppliers, and only to enhance Products, Services and our Marketing to you, and to support and improve your total customer experience.
By completing and submitting this form you hereby authorized representatives to research and review your credit history and/or submit your application to funding sources for research, review and approval.









